Turkish Journal of Geriatrics
2010 , Vol 13 (Supplement)
DIAGNOSIS AND TREATMENT OF HYPERTANSÄ°ON IN ELDERLY
Hacettepe Üniversitesi Tıp Fakültesi Kardiyoloji Anabilim Dalı, Ankara
Cardiovascular diseases are the leading cause of mortality in both developed
and developing countries. The prevalence of hypertension increases
with age and causes an important trouble in public health for geriatric patients.
Degradation in elastin fibers and increase in the stiffness of large arteries causes
an increase in the systolic blood pressure with pulse pressure but decrease in
the diastolic pulse pressure; which is known as isolated systolic hypertension.
Cardiovascular risk factors and end organ damage accumulates in the geriatric
population, so cardiovascular risk reduction seems to be higher in this group of
patients when the treatment of hypertension is optimal. Recent trials revealed
that, hypertension management in older people causes significant reductions
in mortality and morbidity. In this manuscript, the diagnosis and treatment of
hypertension was reviewed according to recent trials and current hypertension
guidelines.
Keywords :
Hypertension, Aged, Treatment